| NPI | 1760722011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A PIERCE Clinic Director 904-645-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME55161) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH6451) |
| 111N00000X Chiropractor (Licence: FL CH6588) | |
| 111N00000X Chiropractor (Licence: FL CH4435) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME0060908) | |
| 225100000X Physical Therapist (Licence: FL PT30658) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ME55161) | |
| 363AM0700X Physician Assistant, Medical (Licence: FL PA9106788) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 770742) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ME0060908) | |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2017-04-18 |